Ms Suzanne Brooks Herberg, LPC | |
4614 Tapestry Dr, Fairfax, VA 22032-3617 | |
(703) 209-3545 | |
(703) 978-7547 |
Full Name | Ms Suzanne Brooks Herberg |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4614 Tapestry Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497839732 | NPI | - | NPPES |
004945247 | Medicaid | VA | |
210245 | Other | VA | BLUE CROSS BLUE SHIELD |
004978277 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701003785 (Virginia) | Primary |
Entity Name | Prince William County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053402800 PECOS PAC ID: 7113912973 Enrollment ID: O20040420000249 |
Mailing Address | Practice Location Address |
---|---|
Ms Suzanne Brooks Herberg, LPC 4614 Tapestry Dr, Fairfax, VA 22032-3617 Ph: (703) 209-3545 | Ms Suzanne Brooks Herberg, LPC 4614 Tapestry Dr, Fairfax, VA 22032-3617 Ph: (703) 209-3545 |
Ms. Saundra Kay Ladd, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 10195 Main St, Suite N, Fairfax, VA 22031 Phone: 703-591-9600 | |
Erika Lanette Portillo, M.ED, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 Phone: 703-218-6599 Fax: 703-218-2012 | |
Zaria Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St Ste 250, Fairfax, VA 22030 Phone: 703-782-3710 | |
Laura Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13130 Maltese Ln, Fairfax, VA 22033 Phone: 571-317-1597 | |
Autumn Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030 Phone: 757-942-5140 | |
Margaret Maxwell, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 9677 Main St # A-b, Fairfax, VA 22031 Phone: 202-964-1209 | |
Kelly Bauer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11200 Waples Mill Rd, Suite 180, Fairfax, VA 22030 Phone: 703-383-8333 Fax: 703-383-3183 |